Provider Demographics
NPI:1467849133
Name:STARSHINE DENTISTRY PLLC
Entity Type:Organization
Organization Name:STARSHINE DENTISTRY PLLC
Other - Org Name:STARSHINE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UNSIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEISER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-497-3000
Mailing Address - Street 1:4251 FM 2181
Mailing Address - Street 2:264
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4219
Mailing Address - Country:US
Mailing Address - Phone:940-497-3000
Mailing Address - Fax:940-497-3010
Practice Address - Street 1:4251 FM 2181
Practice Address - Street 2:264
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4219
Practice Address - Country:US
Practice Address - Phone:940-497-3000
Practice Address - Fax:940-497-3010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STARSHINE DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty